MEDICARE: SOUTHERN OREGON CHIROPRACTIC-CENTRAL POINT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1952892945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHERN OREGON CHIROPRACTIC-CENTRAL POINT, LLC

Provider Business Mailing Address
First Line	:	1744 E MCANDREWS RD STE D
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97504-5576
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 E PINE ST STE 101
Second Line	:
City	:	CENTRAL POINT
State	:	OR
Zip	:	97502-2482
Country	:	US
Telephone Number	:	541-245-4444
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	ERIC REED
Credential	:
Telephone Number	:	541-414-0362

Provider Enumeration Date	:	05/24/2018
Last Update Date	:	08/26/2021

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Directions to “SOUTHERN OREGON CHIROPRACTIC-CENTRAL POINT, LLC ” Practice Location

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